ERISA & LIFE INSURANCE NEWS

Size: px
Start display at page:

Download "ERISA & LIFE INSURANCE NEWS"

Transcription

1 AUGUST 2014 ERISA & LIFE INSURANCE NEWS Covering ERISA and Life, Health and Disability Insurance Litigation INSIDE THIS ISSUE Beneficiary s Agreement with Insurer s Agent Did Not Prevent Lapse of Life Policy Employer Was Not Acting as an ERISA Fiduciary When It Accepted Premiums from Plan Participant Benefit-Stripping Amendment to ERISA Plan Is Permissible in Context of Welfare Benefits Pulmonary Irritants Unique to Employee s Work Site Did Not Support Disability from Her Occupation Divorce Decree Must Describe Life Insurance with Sufficient Specificity Agent s Fraudulent Concealment of Terminal Illness Resulted in Rescission of Policy Insuring His Brother Benefits Decision Was Not Arbitrary Because It Was Supported By Evidence Inconsistent With Insured s Claim State Law Claims of Breach of Contract and Fraud Dismissed Because Completely Preempted by ERISA Former Employee Had Right as ERISA Plan Participant to Request Copy of SPD A prime objective of ERISA is to protect the rights of employees to receive retirement benefits which have become vested, based on the attainment of retirement age, or years of service, or other criteria established by an employer s plan. To accomplish that objective, pension plans are required by Section 203 of ERISA, 29 U.S.C. 1053, to include provisions that prevent the forfeiture of accrued benefits. In the context of pension plans, the protection of vested benefits is explicit in the statute and is enforced in the case law. But what about benefits that have accrued under welfare benefit plans, such as disability benefits that an employee has been receiving for years? Can a welfare plan change the rules and terminate benefits that have already been awarded, based on a benefit-stripping amendment to the plan? continued on page 2 >>

2 No Vesting for Welfare Benefits As long as the plan provides a process for amendment, and if that process is followed, the answer is yes such benefits can be terminated. Just as ERISA does not require an employer to provide any welfare benefits, the statute also does not impose vesting requirements for welfare benefits. That result was reached in Price v. Board of Trustees of the Indiana Laborer s Pension Fund, 707 F.3d 647 (6th Cir. 2013), which involved a multi-employer plan providing both pension and welfare benefits. The plan document granted discretionary authority to a Board of Trustees to administer benefits, including the right to amend the plan. The plan document provided, however, that no amendment shall be made which results in reduced benefits for any Participant whose rights have already become vested under the provisions of the Plan on the date the amendment is made, except upon the advice and counsel of an enrolled actuary. The plaintiff, Price, began receiving disability benefits under the plan in 1990 as the result of work-related injuries. Eleven years later, in 2001, Price was informed that he no longer qualified for benefits under the plan s Total and Permanent Disability Benefit category, but that his benefits would continue under the Occupational Disability Benefit category, which provided that benefits could continue until he reached Early Retirement Age. Plan Amendment Three years later, in 2004, the Board of Trustees amended the plan, providing that disability benefits that became payable before January 1, 2005, under the Occupational Disability Benefit category, would be discontinued effective December 31, Price appealed the termination of his benefits, but his appeal was denied by the Board, relying on its authority to amend the plan. Price then sued, alleging that the 2004 amendment violated ERISA because it deprived him of a vested benefit. Applying a de novo standard of review, the district court granted summary judgment to Price WL (S.D. Ohio Mar. 24, 2009). The Sixth Circuit reversed, holding that because the Board of Trustees had discretion to interpret the plan, the arbitrary and capricious standard should have been applied. 632 F.3d 288 (6th Cir. 2011). 2 ERISA and Life Insurance News August 2014

3 The Sixth Circuit held that the amendment was valid and that the Board of Trustees was entitled to judgment as a matter of law, as a result of which Price was not entitled to additional benefits, although he would not reach Early Retirement Age for several years. Dissenting Opinion On remand, the district court again ruled in favor of Price. The case was appealed again, and again the Sixth Circuit reversed. The appellate court began its analysis with this familiar statement: ERISA does not create a substantive right to welfare benefits such as occupational disability benefits nor does ERISA establish a vesting requirement for welfare benefits. Indeed, a welfare benefit may be terminated at any time so long as the termination is consistent with the terms of the plan. 707 F.3d at 651 (internal citations omitted). Price relied on the plan s provision that no amendment could be made which resulted in reduced benefits for any plan participant whose rights have already become vested. The court concluded that this provision was ambiguous, but it held that the Board of Trustees reasonably exercised its discretion to interpret the provision. [T]he term vesting in the Plan plainly...a welfare benefit may be terminated at any time so long as the termination is consistent with the terms of the plan. refers to retirement-related, not disabilityrelated benefits, the court said. For these reasons, the Board s interpretation was reasonable, and as a result, the decision was not arbitrary and capricious. Id. at 652. In a dissenting opinion, a district judge, sitting by designation, wrote that Price s rights should be governed by the plan document that was in effect when his benefits were awarded, not by the amendment that retroactively terminated those benefits. Certainly the Plan has the power to change prospectively the terms on which it offers benefits to Plan participants who have not qualified to receive those benefits, the dissent said. But it is, in my view arbitrary and capricious for the Plan to terminate benefits that have already been awarded based on a retroactive benefit-stripping amendment. This decision illustrates several important ERISA principles. First, the plan document controls the rights of plan participants. Second, so long as vested pension benefits are not forfeited, a plan is not cast in stone, but can be amended, provided the plan document provides the right to amend and the procedure for amending the plan is followed. Third, decisions made by plan fiduciaries exercising discretionary authority should be upheld, provided the decision in this case, one of plan interpretation did not result from an abuse of discretion. Smith Moore Leatherwood LLP Attorneys at Law 3

4 Beneficiary s Agreement with Insurer s Agent Did Not Prevent Lapse of Life Policy Fidelity & Guaranty Life Ins. Co. v. Thomas, 559 F. App x 803 (11th Cir. Mar. 11, 2014) Carol Thomas was the beneficiary of a policy insuring the life of her husband, Stillman Cook. The policy provided that it would terminate if a premium was not paid within 31 days of its due date. For three months, premiums were not received because the funds in Thomas s bank account were too low. After several letters from Fidelity warning of lapse, a notice of lapse was mailed to Cook, stating that the policy had lapsed in November An application for reinstatement was enclosed. In December 2010, Fidelity informed Cook that the reinstatement process was closed because no application (or the missing payments) had been received. In February 2011, Thomas and her insurance broker had a telephone conversation with an unidentified agent of Fidelity who, according to Thomas, stated that the policy would not lapse if Thomas paid the January and February premiums, along with a six-month advance payment, by the end of March. The agent also advised Thomas to send in the reinstatement application in case her premium check did not arrive by the end of March. In mid-march, Thomas forwarded the premium payments, plus a completed reinstatement application which denied any diagnosis of cancer in the last five years. Fidelity reinstated the policy. In fact, the reinstatement application contained a misrepresentation because Cook had been diagnosed with lung cancer in December He died shortly after the policy was reinstated. Fidelity brought an action to rescind the policy after an investigation revealed the misrepresentation. Thomas argued that the misrepresentation was not material because the policy had never lapsed, based on assurances by the agent which, she said, resulted in a waiver of the right to terminate the policy based on the missed payments. In that regard, the policy provided: Only the President, the Secretary, or a Vice President in our Home Office can agree to change or waive any provisions which are part of the entire contract. The change or waiver must be in writing. The district court granted summary judgment to Fidelity, concluding that the policy had lapsed and that Thomas had not shown that the Fidelity agent had authority to waive the lapse. On appeal, the Eleventh Circuit affirmed. In Georgia, the court wrote, oral statements by an agent of an insurance company generally cannot bind the insurance company. Moreover, Thomas did not show that the agent was one of those executives from the home office who had authority to change or waive the terms of the general policy. Nor did she present any evidence that the agent s offer was reduced to writing. As a result, the telephone conversation with the agent did not waive the termination provision of the policy, and Thomas failed to raise a genuine issue as to whether the policy had lapsed. 4 ERISA and Life Insurance News August 2014

5 Employer Was Not Acting as an ERISA Fiduciary When It Accepted Premiums from Plan Participant Moon v. BWX Technologies, Inc., 2014 WL (4th Cir. 2014) The Fourth Circuit held that an employer was not acting as an ERISA fiduciary when it accepted life insurance premiums from a plan participant without informing him that he no longer was eligible for the coverage. The court concluded that the employer s actions were not discretionary functions with respect to the management, assets, or administration of the life insurance plan, and that the plan documents did not confer fiduciary status on the employer. Moon was employed full-time by BWX Technologies and its predecessor corporations from 1969 until In June 2005, Moon was unable to continue working due to a severe heart condition. He received short-term disability benefits through November He later applied for long-term disability benefits, and his application was approved in December As of that date, Moon no longer was employed by BWX. Sometime during his employment in 2005, Moon enrolled in various employee benefit programs offered by BWX, including a group life insurance policy issued by MetLife providing coverage of $200,000. The MetLife coverage was to become effective January 1, In a confirmation statement issued in November 2005, several days before Moon went on longterm disability, BWX identified his coverage as Employee Life Insurance under the heading Plan Name. In January 2006, BWX printed a second benefit confirmation statement, confirming that Moon had selected certain employee benefits effective in 2006, including a $200,000 life insurance benefit. The 2006 confirmation statement did not indicate that Moon no longer was an employee of BWX. Moon died in November The life insurance premium payments were in arrears at the time of his death. Eleven days after Moon s death, his beneficiary wrote to BWX enclosing a check in payment of the entire balance due. She then made a claim directly to BWX, requesting payment of the $200,000 life insurance benefit. BWX denied the claim, stating that under the terms of the plan Moon was no longer eligible for group life insurance coverage when he ceased active employment as a result of permanent disability. Moon could have elected to convert his group life insurance to an individual policy, in which case he would have been required to pay premiums directly to MetLife, but he did not do so. The beneficiary alleged that, in reliance on the 2006 confirmation statement, Moon and his family paid life insurance premiums directly to BWX, and that BWX accepted the payments without objection. According to the complaint, Moon reasonably believed that BWX would provide the benefits including life insurance benefits if he paid the premiums to BWX. BWX moved to dismiss the plaintiff s equitable estoppel and breach of fiduciary duty claims because it was not acting as a fiduciary, as that term is defined in ERISA. The district court agreed, noting that a person is an ERISA fiduciary only to the extent that he exercises discretionary authority over the plan. Moon v. BXW Techs., Inc., 956 F. Supp. 2d 711, 717 (W.D. Va. 2013). continued on page 6 >> Smith Moore Leatherwood LLP Attorneys at Law 5

6 continued from page 5 >> The district court then concluded that the alleged wrongdoing by BWX did not involve discretionary acts. Therefore, the district court held that the plaintiff s equitable estoppel and breach of fiduciary duty claims failed, because BWX was not acting as an ERISA fiduciary at the time of the alleged wrongful conduct. Pulmonary Irritants Unique to Employee s Work Site Did Not Support Disability from Her Occupation Kennedy v. United of Omaha Life Ins. Co. 556 F. App x 893 (11th Cir. Feb. 28, 2014) In affirming, the Fourth Circuit wrote that [t]o state a claim for breach of fiduciary duty under ERISA, the threshold question is whether the plaintiff has sufficiently alleged that the defendant was a fiduciary, as defined by 29 U.S.C. 1002(21)(A). The Fourth Circuit has observed that an ERISA fiduciary is any individual who de facto performs specified discretionary functions with respect to the management, assets, or administration of a plan. Custer v. Sweeney, 89 F.2d 1156, 1161 (4th Cir. 1996). Simply because an employer is an ERISA plan sponsor does not automatically make the employer a plan fiduciary. Although the plaintiff argued that BWX was a de facto ERISA fiduciary, the court held that because the definition of an ERISA fiduciary is couched in terms of functional control and authority over the plan, it was required to examine the conduct at issue when determining whether an individual is an ERISA fiduciary. BWX s acceptance of Moon s premiums during 2006, as well as its failure to notify Moon that he no longer was eligible for life insurance coverage under the MetLife plan, were not discretionary functions with respect to management, assets, or administration of the life insurance plan, but were more akin to the collection of contributions. Kennedy sued United of Omaha to recover long-term disability benefits under an ERISA plan, based on an allegedly debilitating pulmonary condition. United of Omaha denied the claim after reviewing the opinions of Kennedy s pulmonologist, her primary care physician, and an independent pulmonologist who reviewed her medical records. The federal district court held that the claim decision was not arbitrary and capricious, having taken into account any conflicts of interest. Kennedy appealed, and the Eleventh Circuit affirmed the district court, noting that Kennedy s pulmonologist had concluded that she was capable of working in her regular occupation if she was not exposed to respiratory irritants. Kennedy had not pointed to any evidence in the administrative record demonstrating that the workplace irritants she encountered at River Point were universal and unavoidable, as opposed to being unique to her specific employer and office space, the court said. Accordingly, there was a reasonable basis for United to conclude that Kennedy could work in her regular occupation when, as dictated by the Policy, it set aside peculiarities of Kennedy s work at River Point and instead considered her occupation generally. Although Kennedy emphasized that United of Omaha operated under a conflict of interest, the court said that this was only one factor for the district court to consider in reviewing the claim decision. The fact that United awarded Kennedy long-term disability benefits pending its investigation, which it did not later seek to recover, is evidence that it rendered an impartial decision despite its conflicts, the court said. 6 ERISA and Life Insurance News August 2014

7 Divorce Decree Must Describe Life Insurance with Sufficient Specificity Unum Life Ins. Co. of Am. v. Sides, 2014 WL (N.D. Ga. Mar. 21, 2014) Unum Life filed an interpleader action, seeking a judicial determination of the rightful recipient(s) of the death benefit payable under a policy insuring the life of Christopher Sides. Sides had previously been married to Casey Sides, who was the mother of his two minor children. In their divorce settlement agreement, Sides and his former wife each agreed to maintain insurance on his or her life of at least $250,000 with the minor children named as beneficiaries and the other parent named as trustee. At the time of the divorce, the only life insurance Sides had in place was coverage under a group policy issued by Unum Life to his employer providing coverage in the amount of his annual earnings, which was far less than $250,000. When Sides later married Brooke Sides, he executed a change of beneficiary form designating her as the beneficiary of his life insurance under the Unum Life policy. Sides died of cardiac arrest in 2012, and Unum Life filed the interpleader action because both Brooke Sides and Casey Sides (as guardian of the minor children) claimed entitlement to the life insurance proceeds. Casey claimed that the court should impose a constructive trust on the proceeds because Brooke would be unjustly enriched if allowed to keep the death benefit. The court disagreed because, although Georgia law supports a vested interest in life insurance when a divorce decree identifies a specific policy, the Unum Life policy was not specifically identified. Thus, Brooke was entitled to the proceeds of the life insurance policy. The court mentioned in dicta that Casey may have a claim against the estate of Sides for his failure to maintain $250,000 in life insurance for his children pursuant to the divorce decree. Smith Moore Leatherwood LLP Attorneys at Law 7

8 Agent s Fraudulent Concealment of Terminal Illness Resulted in Rescission of Policy Insuring His Brother ReliaStar Life Ins. Co. v. Laschkewitsch, 2014 WL (E.D.N.C. May 28, 2014) the truth of an applicant s statements, it may learn of facts sufficient to put it on inquiry, requiring an investigation to determine the truth or falsity thereof. ReliaStar, on several occasions, was placed on inquiry notice of fraud, but each time Laschkewitsch sufficiently covered his tracks to stop the inquiry. The court said that ReliaStar was under no obligation to dig deeper in order to avoid waiver. Laschkewitsch, an insurance agent, submitted to ReliaStar the application of his brother Ben for life insurance. The policy was issued in February 2010, with Laschkewitsch as the beneficiary. Ben died in January ReliaStar denied Laschkewitsch s claim for the death benefit, based on misrepresentations in the application, and filed a declaratory judgment action. The federal district court declared the policy void and granted summary judgment to ReliaStar on its claims of breach of the producer contract and fraud, ordering Laschkewitsch to repay his commission. The court found that Laschkewitsch had contrived to acquire $3.9 million in life insurance on the life of his brother, who was terminally ill with ALS. Laschkewitsch helped his brother apply for the policy and made material misrepresentations to ReliaStar about his brother s health and the amount of life insurance in force or applied for with other companies. The evidence showed that Ben had been diagnosed with ALS and frontotemporal dementia in August 2009; in September 2009, Ben disclosed his diagnosis to another insurer, which declined his application for insurance; in October 2009, Ben was terminated from his job because of his inability to perform as a result of ALS; and in January 2010, VA records showed that Ben s health had declined significantly. Despite this, Ben answered no to questions on the application, including, [h]ave you within the last 5 years had any mental or physical disorder...? Ben also misrepresented the total amount of life insurance in force, and that he had been denied coverage by another insurer. ReliaStar showed that it would not have issued the policy if Ben had disclosed his illness, his other coverage, and his pending life insurance application to another company. The court rejected Laschkewitsch s argument that ReliaStar waived its objections to the application deficiencies, because waiver requires knowledge of false facts and conduct inconsistent with an intent to enforce the condition. While an insurer is under no duty to question Next, Laschkewitsch argued that the policy was not contestable. The policy stated: After your policy has been in force during the lifetime of the Insured for two years from the Issue Date, we will not contest its validity. Laschkewitsch argued that ReliaStar s suit could not be maintained more than two years after the policy was issued. The court rejected this argument because the policy was not in force for two years during the lifetime of the insured. Laschkewitsch also argued that ReliaStar was unjustly enriched by receiving premiums and then refusing to pay the claim. The court rejected this argument because all premiums were reimbursed. Finally, Laschkewitsch argued that ReliaStar was estopped from challenging the policy because it retained premiums after Ben died. However, like the unjust enrichment argument, the evidence showed that all premiums were reimbursed. In ruling on ReliaStar s breach of contract and fraud claims, the court found that Laschkewitsch breached his producer contract by not disclosing facts that were pertinent to Ben s insurability. As to the fraud claim, the court found that Laschkewitsch had actual awareness of Ben s ALS, and thus he made material and intentional misrepresentations on which ReliaStar relied. 8 ERISA and Life Insurance News August 2014

9 Benefits Decision Was Not Arbitrary Because It Was Supported By Evidence Inconsistent With Insured s Claim Howard v. Hartford Life & Accident Ins. Co., 563 F. App x 658 (11th Cir. 2014) Howard sued Hartford to recover additional long-term disability benefits, based on subjective diagnoses of lupus and fibromyalgia, among other ailments. The district court granted summary judgment to Hartford, and the Eleventh Circuit affirmed. Hartford initially approved benefits based on a treating physician s report that Howard could not perform her occupation as a business strategy manager. To further assess Howard s capabilities, Hartford obtained surveillance, which showed Howard engaging in activities that were starkly inconsistent with her self-reports and those of her treating physicians. Hartford consulted an independent physician and an independent psychologist, and both opined that Howard should be able to perform her occupation full-time. Hartford terminated benefits. On appeal, Howard complained that Hartford s conflict of interest affected its benefits determination, and that the district court erred in failing to consider extra-record exhibits attached to her summary judgment motion (some of which did not even exist when Hartford made its decision). The Eleventh Circuit confirmed that it is the claimant s burden to prove disability, to prove an abuse of discretion by the claim administrator, and to prove that the decision was affected by the conflict of interest. Because Howard s allegedly disabling conditions were subjective (i.e., fibromyalgia and a lupus diagnosis without corroborating labwork), the Eleventh Circuit found that credibility in this case is of the utmost importance. Howard s credibility was seriously called into question by the surveillance which show[ed] her engaging in activities grossly inconsistent with her description of her abilities, and in stark contrast to her own treating physicians assessments based on her subjective complaints. The court reiterated that a review of a claimant s records by an independent consultant is not arbitrary and capricious. Moreover, despite submitting 30 extrarecord exhibits with her summary judgment motion, Howard failed to submit evidence showing the reviewing health care providers were tainted or biased, such that Hartford s reliance on their opinions was not arbitrary or capricious. With conflict being just one factor to consider, the district judge appropriately deferred to Hartford s decision regarding benefits... It was not necessary for the court to resolve whether the district erred in failing to consider Howard s various exhibits, because the judge did examine all exhibits Howard tendered but concluded these exhibits did not justify another result. Smith Moore Leatherwood LLP Attorneys at Law 9

10 State Law Claims of Breach of Contract and Fraud Dismissed Because Completely Preempted by ERISA Dye v. Hartford Life & Acc. Co., 2014 WL (M.D. Ga. Apr. 8, 2014) Dye sued Hartford to recover benefits under a long-term disability insurance policy issued to her former employer, where she worked as a registered nurse. Hartford was the claims administrator of the policy. Dye alleged breach of contract and fraud based on Hartford s termination of her long-term disability benefits. She also alleged that Hartford acted in bad faith, which entitled her to additional damages. Hartford removed the case to federal court, and moved to dismiss the complaint pursuant to Fed. R. Civ. P. 12(b)(6) on the ground that it alleged only state law claims that were completely preempted by ERISA. the plan was an employee benefit plan established by her employer, which was an ERISA entity that controls the payment of benefits and the determination of rights under an ERISA plan. And, as an employee potentially eligible to receive benefits under the plan, plaintiff had standing to assert this claim. Regarding the second factor, the court noted that Dye s breach of contract claim, based on her contention that Hartford erroneously concluded she no longer was disabled, necessarily required inquiry into the content of the ERISA plan. Thus, it was not premised on legal duties independent of the plan. Accordingly, plaintiff s breach of contract claim was completely preempted by ERISA, and because the state law fraud and bad faith claims were joined with the completely preempted claim, the court had jurisdiction. With respect to Hartford s motion to dismiss the state law claims, the court determined that the breach of contract claim necessarily relate[d] to an ERISA plan and thus was also defensively preempted. Because the fraud and bad faith claims were intertwined with the Defendant s denial of benefits under an ERISA plan, they too were defensively preempted. Dye s claims were dismissed. The court first considered whether it had subject matter jurisdiction, since complete preemption would confer jurisdiction, in contrast to conflict or defensive preemption, which is an affirmative defense arising from ERISA s express preemption provision, but which does not provide a basis for removal. To determine whether complete preemption existed, the court considered (1) whether Dye could have brought her claim under 502(a) of ERISA, and (2) whether no other legal duty supported the claim. For the first factor, a plaintiff s claim must fall within the scope of ERISA, and the plaintiff must have standing to sue under ERISA. The court concluded that Dye could have brought her claim under 502(a), because 10 ERISA and Life Insurance News August 2014

11 Former Employee Had Right as ERISA Plan Participant to Request Copy of SPD Ensley v. North Georgia Mountain Crisis Network, Inc., 2014 WL (N.D. Ga. Mar. 19, 2014) Ensley filed suit under a number of theories after her employment was terminated by the defendant. Among other things, she contended that the administrator of her former employer s health benefit plan had violated ERISA by failing to timely provide to her a copy of a summary plan description. She contended that she was entitled to administrative penalties as a result. Under 29 U.S.C. 1024(b), a plan administrator must provide plan participants with a copy of the SPD upon written request. ERISA defines the term participant in relevant part as any employee... who is or may become eligible to receive a benefit of any type from an employee benefit plan which covers employees of such employer..., or whose beneficiaries may be eligible to receive any such benefit. 29 U.S.C. 1002(7). The defendants admitted that Ensley was not provided with a copy of the SPD within the timeframe set out in the statute. Nonetheless, they argued that she was not entitled to an SPD because her written request for the document was made after the termination of her employment when she was no longer a plan participant within the meaning of ERISA. The court rejected the defendants argument, noting that in Firestone Tire & Rubber Co. v. Bruch, 489 U.S. 101, (1989), the Supreme Court found that participants include former employees who have a reasonable expectation of returning to covered employment or a colorable claim to vested benefits. Under that decision, the court continued, the former-employee claimant must have a colorable claim that (1) he or she will prevail in a suit for benefits, or that (2) eligibility requirements will be fulfilled in the future. The court agreed that Ensley had at least a colorable claim to benefits. As a result, the court concluded, the plan administrator did have an obligation to provide her with plan information following her attorney s written request... The court reserved ruling on awarding statutory penalties until overall damages had been addressed. Message from the Editors Among the contributors to this issue is Jenny Rathman, who has represented life, health, and disability insurers for 11 years, first in Chicago and currently in Atlanta and throughout the Southeastern United States. Jenny recently spoke on new legislation affecting fraternal benefit societies at the annual meeting of the Association of Fraternal Benefit Counsel in Santa Fe, New Mexico. Sanders Carter Kent Coppage Aaron Pohlmann Contributors to this Issue Nikole Crow Atlanta, Ga Jennifer Rathman Atlanta, Ga Mary Ramsay Charleston, SC Peter Rutledge Greenville, SC Smith Moore Leatherwood LLP Attorneys at Law 11

12 ERISA AND LIFE INSURANCE LITIGATION Smith Moore Leatherwood s ERISA and Life Insurance Litigation Team has earned a national reputation for excellence. The Team is comprised of attorneys who have represented ERISA entities and insurers in hundreds of cases in federal and state courts throughout the nation. In addition to claims brought under ERISA, the firm s attorneys defend a broad variety of actions, including those brought under federal and state RICO Acts, the ADA, class actions, discriminatory underwriting claims, actions involving allegations of agent misconduct, and breach of contract claims for the recovery of life, accidental death, disability, and health insurance benefits. ATLANTA CHARLESTON CHARLOTTE GREENSBORO GREENVILLE RALEIGH WILMINGTON Smith Moore Leatherwood LLP Attorneys at Law Smith Moore Leatherwood LLP Attorneys at Law Atlantic Center Plaza 1180 W. Peachtree St. NW Suite 2300 Atlanta, GA T: (404) F: (404)

ERISA Litigation. ERISA Statute Fundamentals. What is ERISA, and where is the ERISA statute located? What is an ERISA plan?

ERISA Litigation. ERISA Statute Fundamentals. What is ERISA, and where is the ERISA statute located? What is an ERISA plan? ERISA Litigation Our expert attorneys have substantial experience representing third-party administrators, insurers, plans, plan sponsors, and employers in an array of ERISA litigation and benefits-related

More information

Case: , 01/04/2019, ID: , DktEntry: 40-1, Page 1 of 9 NOT FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

Case: , 01/04/2019, ID: , DktEntry: 40-1, Page 1 of 9 NOT FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT Case: 16-56663, 01/04/2019, ID: 11141257, DktEntry: 40-1, Page 1 of 9 NOT FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT FILED JAN 4 2019 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS

More information

ERISA Causes of Action *

ERISA Causes of Action * 1 ERISA Causes of Action * ERISA authorizes a variety of causes of action to remedy violations of the statute, to enforce the terms of a benefit plan, or to provide other relief to a plan, its participants

More information

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF SOUTH CAROLINA FLORENCE DIVISION

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF SOUTH CAROLINA FLORENCE DIVISION IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF SOUTH CAROLINA FLORENCE DIVISION Carolina Care Plan, Inc., ) Civil Action No.:4:06-00792-RBH ) Plaintiff, ) ) vs. ) O R D E R ) Auddie Brown Auto

More information

Philip Dix v. Total Petrochemicals USA Inc Pension Plan

Philip Dix v. Total Petrochemicals USA Inc Pension Plan 2013 Decisions Opinions of the United States Court of Appeals for the Third Circuit 9-30-2013 Philip Dix v. Total Petrochemicals USA Inc Pension Plan Precedential or Non-Precedential: Non-Precedential

More information

David Hatchigian v. International Brotherhood of E

David Hatchigian v. International Brotherhood of E 2013 Decisions Opinions of the United States Court of Appeals for the Third Circuit 7-24-2013 David Hatchigian v. International Brotherhood of E Precedential or Non-Precedential: Non-Precedential Docket

More information

Michael Sadel v. Berkshire Life Insurance Compa

Michael Sadel v. Berkshire Life Insurance Compa 2012 Decisions Opinions of the United States Court of Appeals for the Third Circuit 3-30-2012 Michael Sadel v. Berkshire Life Insurance Compa Precedential or Non-Precedential: Non-Precedential Docket No.

More information

ALI-ABA Course of Study Insurance Industry and Financial Services Litigation. May 10-11, 2007 Chicago, Illinois. Update on ERISA Litigation

ALI-ABA Course of Study Insurance Industry and Financial Services Litigation. May 10-11, 2007 Chicago, Illinois. Update on ERISA Litigation 345 ALI-ABA Course of Study Insurance Industry and Financial Services Litigation May 10-11, 2007 Chicago, Illinois Update on ERISA Litigation By Elizabeth J. Bondurant, Esquire Andrea K. Cataland, Esquire

More information

ERISA. Representative Experience

ERISA. Representative Experience ERISA RMKB s ERISA practice group has extensive experience representing insurance carriers, employers, plan administrators, claims administrators, and benefits plans against claims brought under the Employee

More information

Deborah R. Bauer and Diane G. Wright, on behalf of themselves and those

Deborah R. Bauer and Diane G. Wright, on behalf of themselves and those 274 Ga. App. 381 A05A0455. ADVANCEPCS et al. v. BAUER et al. PHIPPS, Judge. Deborah R. Bauer and Diane G. Wright, on behalf of themselves and those similarly situated, filed a class action complaint against

More information

The Impact of Dudenhoeffer on Lower Court Stock-Drop Cases

The Impact of Dudenhoeffer on Lower Court Stock-Drop Cases The Impact of Dudenhoeffer on Lower Court Stock-Drop Cases ALYSSA OHANIAN The Supreme Court recently held in Fifth Third Bancorp v. Dudenhoeffer, 134 S. Ct. 2459 (2014), that employer stock ownership plan

More information

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA CHARLESTON DIVISION. v. CIVIL ACTION NO.

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA CHARLESTON DIVISION. v. CIVIL ACTION NO. Alps Property & Casualty Insurance Company v. Turkaly et al Doc. 50 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF WEST VIRGINIA CHARLESTON DIVISION ALPS PROPERTY & CASUALTY INSURANCE

More information

Insurer v. Insurer: The Bases of an Insurer s Right to Recover Payment From Another Insurer*

Insurer v. Insurer: The Bases of an Insurer s Right to Recover Payment From Another Insurer* Insurer v. Insurer: The Bases of an Insurer s Right to Recover Payment From Another Insurer* By: Thomas F. Lucas McKenna, Storer, Rowe, White & Farrug Chicago A part of every insurer s loss evaluation

More information

United States Court of Appeals for the Federal Circuit

United States Court of Appeals for the Federal Circuit NOTE: This disposition is nonprecedential. United States Court of Appeals for the Federal Circuit MORRIS SHELKOFSKY, Plaintiff-Appellant, v. UNITED STATES, Defendant-Appellee. 2013-5083 Appeal from the

More information

United States Court of Appeals

United States Court of Appeals In the United States Court of Appeals For the Seventh Circuit Nos. 10-2361 & 10-2362 MELISSA J. REDDINGER and SCOTT LEFEBVRE, v. Plaintiffs-Appellants, SENA SEVERANCE PAY PLAN and NEWPAGE WISCONSIN SYSTEM,

More information

Case 3:16-cv JPG-SCW Document 33 Filed 01/10/17 Page 1 of 11 Page ID #379 UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS

Case 3:16-cv JPG-SCW Document 33 Filed 01/10/17 Page 1 of 11 Page ID #379 UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS Case 3:16-cv-00040-JPG-SCW Document 33 Filed 01/10/17 Page 1 of 11 Page ID #379 CAROLINA CASUALTY INSURANCE COMPANY, UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS v. Plaintiff, Case

More information

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI WESTERN DIVISION

IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI WESTERN DIVISION IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF MISSOURI WESTERN DIVISION RICHARD BARNES, ) ) Plaintiff, ) ) v. ) No. 4:13-cv-0068-DGK ) HUMANA, INC., ) ) Defendant. ) ORDER GRANTING DISMISSAL

More information

Review of Employee Benefits Claims Before Glenn. Patrick W. Spangler

Review of Employee Benefits Claims Before Glenn. Patrick W. Spangler Dual-role Benefit Plan Administrator Conflicts: Proceed With Caution The Supreme Court s ruling in Metropolitan Life Ins. Co. v. Glenn increases the likelihood of the courts overturning certain benefits

More information

NOTABLE RECENT DECISIONS IN ERISA LITIGATION

NOTABLE RECENT DECISIONS IN ERISA LITIGATION Washington New York San Francisco Silicon Valley San Diego London Brussels Beijing ERISA & Employee Benefits Litigation * * * * * NOTABLE RECENT DECISIONS IN ERISA LITIGATION November 2008 This advisory

More information

PUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT. No

PUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT. No PUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 13-1106 EQUAL EMPLOYMENT OPPORTUNITY COMMISSION, v. BALTIMORE COUNTY, and Plaintiff - Appellee, Defendant Appellant, AMERICAN FEDERATION

More information

Gouge v. Metro Life Ins Co

Gouge v. Metro Life Ins Co 2003 Decisions Opinions of the United States Court of Appeals for the Third Circuit 6-3-2003 Gouge v. Metro Life Ins Co Precedential or Non-Precedential: Non-Precedential Docket No. 02-4252 Follow this

More information

Standard Mortgage Clause Preserves Coverage for Mortgagee Notwithstanding Carrier s Denial of Named Insured s Claim

Standard Mortgage Clause Preserves Coverage for Mortgagee Notwithstanding Carrier s Denial of Named Insured s Claim Property Insurance Law Catherine A. Cooke Robbins, Salomon & Patt, Ltd., Chicago Standard Mortgage Clause Preserves Coverage for Mortgagee Notwithstanding Carrier s Denial of Named Insured s Claim The

More information

STATE OF MICHIGAN COURT OF APPEALS

STATE OF MICHIGAN COURT OF APPEALS STATE OF MICHIGAN COURT OF APPEALS 21ST CENTURY PREMIER INSURANCE COMPANY, Plaintiff/Counter-Defendant- Appellee, FOR PUBLICATION May 24, 2016 9:15 a.m. v No. 325657 Oakland Circuit Court BARRY ZUFELT

More information

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT CHATTANOOGA

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT CHATTANOOGA UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TENNESSEE AT CHATTANOOGA JOHN RANNIGAN, ) ) Plaintiff ) ) Case No. 1:08-CV-256 v. ) ) Chief Judge Curtis L. Collier LONG TERM DISABILITY INSURANCE ) FOR

More information

Case 3:10-cv Document 36 Filed in TXSD on 05/24/12 Page 1 of 2

Case 3:10-cv Document 36 Filed in TXSD on 05/24/12 Page 1 of 2 Case 3:10-cv-00458 Document 36 Filed in TXSD on 05/24/12 Page 1 of 2 Case 3:10-cv-00458 Document 36 Filed in TXSD on 05/24/12 Page 2 of 2 Case 3:10-cv-00458 Document 32 Filed in TXSD on 04/18/12 Page 1

More information

DC: AVNET, INC. VOLUNTARY EMPLOYEE SEVERANCE PLAN

DC: AVNET, INC. VOLUNTARY EMPLOYEE SEVERANCE PLAN DC: 4069808-3 AVNET, INC. VOLUNTARY EMPLOYEE SEVERANCE PLAN Avnet, Inc. Voluntary Employee Severance Plan TABLE OF CONTENTS Introduction... 1 Eligibility... 2 Eligible Employees... 2 Circumstances Resulting

More information

ERISA SPD Information

ERISA SPD Information ERISA SPD Information This section contains important information, required by the Employee Retirement Income Security Act of 1974 ( ERISA ), about your medical benefits. Plan Name/Identification The medical

More information

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No D. C. Docket No CV-3-LAC-MD

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No D. C. Docket No CV-3-LAC-MD [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT No. 09-15396 D. C. Docket No. 05-00401-CV-3-LAC-MD FILED U.S. COURT OF APPEALS ELEVENTH CIRCUIT SEPTEMBER 8, 2011 JOHN LEY

More information

ERISA Overpayments Claims & Defenses

ERISA Overpayments Claims & Defenses ERISA Overpayments Claims & Defenses AIDS Legal Referral Panel November 14, 2018 MCLE Training Kirsten Scott Renaker Hasselman Scott, LLP 235 Montgomery Street, Suite 944 San Francisco, CA 94104 415-653-1733

More information

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No Non-Argument Calendar. D.C. Docket No. 4:15-cv WTM-GRS.

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No Non-Argument Calendar. D.C. Docket No. 4:15-cv WTM-GRS. Case: 16-16593 Date Filed: 05/03/2017 Page: 1 of 11 [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT No. 16-16593 Non-Argument Calendar D.C. Docket No. 4:15-cv-00023-WTM-GRS

More information

In the Missouri Court of Appeals Western District

In the Missouri Court of Appeals Western District In the Missouri Court of Appeals Western District ACCIDENT FUND INSURANCE COMPANY; E.J. CODY COMPANY, INC., Respondents-Appellants, v. ROBERT CASEY, EMPLOYEE/DOLORES MURPHY, Appellant-Respondent. WD80470

More information

Fourteenth Court of Appeals

Fourteenth Court of Appeals Affirmed and Opinion filed August 1, 2017. In The Fourteenth Court of Appeals NO. 14-16-00263-CV RON POUNDS, Appellant V. LIBERTY LLOYDS OF TEXAS INSURANCE COMPANY, Appellee On Appeal from the 215th District

More information

Pension Fund. Summary Plan Description

Pension Fund. Summary Plan Description Pension Fund Summary Plan Description Local 14-14B Table of Contents INTRODUCTION 2 ELIGIBILITY AND PARTICIPATION 4 When Participation Begins 4 When Participation Ends 4 HOW THE PLAN WORKS 5 Pension Credits

More information

Present: Hassell, C.J., Lacy, Keenan, Koontz, Kinser, and Lemons, JJ., and Compton, S.J.

Present: Hassell, C.J., Lacy, Keenan, Koontz, Kinser, and Lemons, JJ., and Compton, S.J. Present: Hassell, C.J., Lacy, Keenan, Koontz, Kinser, and Lemons, JJ., and Compton, S.J. KURT G. SCHLEGEL v. Record No. 051651 OPINION BY JUSTICE CYNTHIA D. KINSER April 21, 2006 BANK OF AMERICA, N.A.,

More information

UNREPORTED IN THE COURT OF SPECIAL APPEALS OF MARYLAND. No September Term, 2010 MICHELLE PINDELL SHAWN PINDELL

UNREPORTED IN THE COURT OF SPECIAL APPEALS OF MARYLAND. No September Term, 2010 MICHELLE PINDELL SHAWN PINDELL UNREPORTED IN THE COURT OF SPECIAL APPEALS OF MARYLAND No. 699 September Term, 2010 MICHELLE PINDELL v. SHAWN PINDELL Watts, Berger, Alpert, Paul E., (Retired, Specially Assigned), JJ. Opinion by Berger,

More information

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 14a0911n.06. No UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT ) ) ) ) ) ) ) ) )

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 14a0911n.06. No UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT ) ) ) ) ) ) ) ) ) NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 14a0911n.06 No. 14-5212 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT THOMAS EIFLER, Plaintiff-Appellant, v. WILSON & MUIR BANK & TRUST CO.,

More information

UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION

UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION Deer Oaks Office Park Owners Association v. State Farm Lloyds Doc. 25 UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF TEXAS SAN ANTONIO DIVISION DEER OAKS OFFICE PARK OWNERS ASSOCIATION, CIVIL

More information

HEALTHIER TOGETHER PLAN TABLE OF CONTENTS

HEALTHIER TOGETHER PLAN TABLE OF CONTENTS Healthier Together Plan January 1, 2016 HEALTHIER TOGETHER PLAN TABLE OF CONTENTS Healthier Together Plan Highlights... 1 Introduction... 2 Who Is Eligible?... 2 How Do I Enroll?... 2 How Does Plan Coverage

More information

SUMMARY PLAN DESCRIPTION KAISER ALUMINUM SALARIED RETIREES VEBA PLAN

SUMMARY PLAN DESCRIPTION KAISER ALUMINUM SALARIED RETIREES VEBA PLAN SUMMARY PLAN DESCRIPTION KAISER ALUMINUM SALARIED RETIREES VEBA PLAN January 1, 2017 NOTE: The information contained in this Summary Plan Description provides a limited description of the relevant provisions

More information

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO LEWIS T. BABCOCK, JUDGE

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO LEWIS T. BABCOCK, JUDGE Ellis v. Liberty Life Assurance Company of Boston Doc. 75 Civil Action No. 15-cv-00090-LTB MICHAEL D. ELLIS, IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO LEWIS T. BABCOCK, JUDGE v.

More information

Camico Mutual Insurance Co v. Heffler, Radetich & Saitta

Camico Mutual Insurance Co v. Heffler, Radetich & Saitta 2014 Decisions Opinions of the United States Court of Appeals for the Third Circuit 10-10-2014 Camico Mutual Insurance Co v. Heffler, Radetich & Saitta Precedential or Non-Precedential: Non-Precedential

More information

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT

STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT WILEY STEWART VERSUS STATE OF LOUISIANA COURT OF APPEAL, THIRD CIRCUIT 05-1339 CALCASIEU PARISH SCHOOL BOARD, ET AL. ********** APPEAL FROM THE FOURTEENTH JUDICIAL DISTRICT COURT PARISH OF CALCASIEU, NO.

More information

Retirement Plan for Employees of Concord Hospital. Summary Plan Description

Retirement Plan for Employees of Concord Hospital. Summary Plan Description Retirement Plan for Employees of Concord Hospital Summary Plan Description This Summary Plan Description describes the Retirement Plan as of January 1, 2016. TABLE OF CONTENTS Page INTRODUCTION... 1 ABOUT

More information

Health Plan Summary Plan Description

Health Plan Summary Plan Description Health Plan Summary Plan Description as amended Effective April 1, 2015 March 31, 2016 This Summary Plan Description ("SPD") explains the main provisions of the Marshfield Clinic Health Systems, Inc. Health

More information

Commonwealth of Kentucky Court of Appeals

Commonwealth of Kentucky Court of Appeals RENDERED: MARCH 4, 2011; 10:00 A.M. NOT TO BE PUBLISHED Commonwealth of Kentucky Court of Appeals NO. 2009-CA-002208-ME M.G.T. APPELLANT APPEAL FROM JEFFERSON CIRCUIT COURT v. HONORABLE DOLLY W. BERRY,

More information

STATE OF MICHIGAN COURT OF APPEALS

STATE OF MICHIGAN COURT OF APPEALS STATE OF MICHIGAN COURT OF APPEALS ST. JOHN MACOMB OAKLAND HOSPITAL, Plaintiff-Appellant, FOR PUBLICATION December 8, 2016 9:00 a.m. v No. 329056 Macomb Circuit Court STATE FARM MUTUAL AUTOMOBILE LC No.

More information

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN ORDER

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN ORDER Hartford Life and Accident Insurance Company v. Sabol et al Doc. 32 UNITED STATES DISTRICT COURT EASTERN DISTRICT OF WISCONSIN HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY, Interpleader Plaintiff, v. Case

More information

ELWOOD STAFFING SERVICES, INC. COLUMBUS IN

ELWOOD STAFFING SERVICES, INC. COLUMBUS IN ELWOOD STAFFING SERVICES, INC. COLUMBUS IN Dental Benefit Summary Plan Description 7670-09-411299 Revised 01-01-2017 BENEFITS ADMINISTERED BY Table of Contents INTRODUCTION... 1 PLAN INFORMATION... 2 SCHEDULE

More information

VA Issues Interim Guidelines on Debt Collection Waiver as a Result of Legislation

VA Issues Interim Guidelines on Debt Collection Waiver as a Result of Legislation Copyright 1990 by National Clearinghouse for Legal Services. All rights Reserved. 24 Clearinghouse Review 829 (December 1990) VA Issues Interim Guidelines on Debt Collection Waiver as a Result of Legislation

More information

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF MISSISSIPPI JACKSON DIVISION VERIZON BUSINESS NETWORK SERVICES, INC.

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF MISSISSIPPI JACKSON DIVISION VERIZON BUSINESS NETWORK SERVICES, INC. Verizon Business Network Services, Inc. v. Diana Day-Cartee et al Doc. 96 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF MISSISSIPPI JACKSON DIVISION VERIZON BUSINESS NETWORK SERVICES,

More information

UNIMERICA LIFE INSURANCE COMPANY OF NEW YORK FOR AWI USA LLC

UNIMERICA LIFE INSURANCE COMPANY OF NEW YORK FOR AWI USA LLC UNIMERICA LIFE INSURANCE COMPANY OF NEW YORK GROUP BASIC LIFE CERTIFICATE OF COVERAGE FOR AWI USA LLC POLICY NUMBER: GL-305142 EFFECTIVE DATE: July 1, 2017 NY (8-17) Unimerica Life Insurance Company of

More information

Pegram v. Herdrich, 90 days later By Jeffrey Isaac Ehrlich

Pegram v. Herdrich, 90 days later By Jeffrey Isaac Ehrlich Pegram v. Herdrich, 90 days later By Jeffrey Isaac Ehrlich More than a third of all Americans receive their healthcare through employersponsored managed care plans; that is, through plans subject to ERISA.

More information

THOMAS P. DORE, ET AL., SUBSTITUTE TRUSTEES. Wright, Arthur, Salmon, James P. (Retired, Specially Assigned),

THOMAS P. DORE, ET AL., SUBSTITUTE TRUSTEES. Wright, Arthur, Salmon, James P. (Retired, Specially Assigned), UNREPORTED IN THE COURT OF SPECIAL APPEALS OF MARYLAND No. 0230 September Term, 2015 MARVIN A. VAN DEN HEUVEL, ET AL. v. THOMAS P. DORE, ET AL., SUBSTITUTE TRUSTEES Wright, Arthur, Salmon, James P. (Retired,

More information

United States Court of Appeals For the Eighth Circuit

United States Court of Appeals For the Eighth Circuit United States Court of Appeals For the Eighth Circuit No. 17-1333 Alexandra Sims lllllllllllllllllllllplaintiff - Appellant v. State Farm Mutual Automobile Insurance Company llllllllllllllllllllldefendant

More information

Rosann Delso v. Trustees of Ret Plan Hourly Em

Rosann Delso v. Trustees of Ret Plan Hourly Em 2009 Decisions Opinions of the United States Court of Appeals for the Third Circuit 7-7-2009 Rosann Delso v. Trustees of Ret Plan Hourly Em Precedential or Non-Precedential: Non-Precedential Docket No.

More information

ERISA-fication of Individual Policies: Why It Benefits Insurers and How It Is Done

ERISA-fication of Individual Policies: Why It Benefits Insurers and How It Is Done MAy 2017 ERISA & Life Insurance News Covering ERISA and Life, Health and Disability Insurance Litigation 2 ERISA-fication of Individual Policies: Why It Benefits Insurers and How It Is Done 4 State Law

More information

IN THE SUPREME COURT OF THE STATE OF DELAWARE

IN THE SUPREME COURT OF THE STATE OF DELAWARE IN THE SUPREME COURT OF THE STATE OF DELAWARE H. DAVID MANLEY, ) ) No. 390, 2008 Defendant Below, ) Appellant, ) Court Below: Superior Court ) of the State of Delaware in v. ) and for Sussex County ) MAS

More information

Top Ten Things You Should Know About Employee Benefits

Top Ten Things You Should Know About Employee Benefits Top Ten Things You Should Know About Employee Benefits AIDS Legal Referral Panel April 19, 2018 MCLE Training Kirsten Scott Renaker Hasselman Scott, LLP 235 Montgomery Street, Suite 944 San Francisco,

More information

Case 2:13-cv APG-VCF Document 65 Filed 02/08/17 Page 1 of 8 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA * * *

Case 2:13-cv APG-VCF Document 65 Filed 02/08/17 Page 1 of 8 UNITED STATES DISTRICT COURT DISTRICT OF NEVADA * * * Case :-cv-0-apg-vcf Document Filed 0/0/ Page of 0 0 LINDA SLIWA, v. Plaintiff, LINCOLN NATIONAL LIFE INSURANCE COMPANY as Claims Administrator for GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF

More information

1992 WL United States District Court, C.D. California. Paul L. SPINK, et al., Plaintiffs, v. LOCKHEED CORPORATION, et al., Defendants.

1992 WL United States District Court, C.D. California. Paul L. SPINK, et al., Plaintiffs, v. LOCKHEED CORPORATION, et al., Defendants. 1992 WL 437985 United States District Court, C.D. California. Paul L. SPINK, et al., Plaintiffs, v. LOCKHEED CORPORATION, et al., Defendants. No. CV 92 800 SVW (GHKX). July 31, 1992. Opinion ORDER GRANTING

More information

MEMORANDUM AND ORDER

MEMORANDUM AND ORDER Case 3:17-cv-00295-SMY-DGW Document 37 Filed 07/11/18 Page 1 of 5 Page ID #186 IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS UNITED STATES OF AMERICA, Plaintiff, vs. IYMAN FARIS,

More information

Love v. Eaton Corp. Disability Plan for U.S. Emple.

Love v. Eaton Corp. Disability Plan for U.S. Emple. No Shepard s Signal As of: July 10, 2018 10:53 AM Z Love v. Eaton Corp. Disability Plan for U.S. Emple. United States District Court for the Eastern District of North Carolina, Western Division December

More information

Van Camp & Bennion v. United States 251 F.3d 862 (9th Cir. Wash. 2001).

Van Camp & Bennion v. United States 251 F.3d 862 (9th Cir. Wash. 2001). Van Camp & Bennion v. United States 251 F.3d 862 (9th Cir. Wash. 2001). CLICK HERE to return to the home page No. 96-36068. United States Court of Appeals, Ninth Circuit. Argued and Submitted September

More information

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 12a0935n.06. No UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT ) ) ) ) ) ) ) ) ) )

NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 12a0935n.06. No UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT ) ) ) ) ) ) ) ) ) ) NOT RECOMMENDED FOR FULL-TEXT PUBLICATION File Name: 12a0935n.06 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT MAZAK CORPORATION, Plaintiff-Appellee, v. WILLIAM KING, Defendant-Appellant. ON APPEAL

More information

UNITED STATES COURT OF APPEALS

UNITED STATES COURT OF APPEALS RECOMMENDED FOR FULL-TEXT PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 18a0223p.06 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT MEAD VEST, v. RESOLUTE FP US INC., Plaintiff-Appellant,

More information

United States Court of Appeals For the Eighth Circuit

United States Court of Appeals For the Eighth Circuit United States Court of Appeals For the Eighth Circuit No. 17-2141 Troy K. Scheffler lllllllllllllllllllllplaintiff - Appellant v. Gurstel Chargo, P.A. llllllllllllllllllllldefendant - Appellee Appeal from

More information

Case3:09-cv MMC Document22 Filed09/08/09 Page1 of 8

Case3:09-cv MMC Document22 Filed09/08/09 Page1 of 8 Case:0-cv-0-MMC Document Filed0/0/0 Page of IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA 0 United States District Court For the Northern District of California NICOLE GLAUS,

More information

STATE OF OHIO ) IN THE COURT OF APPEALS NINTH JUDICIAL DISTRICT COUNTY OF MEDINA ) DECISION AND JOURNAL ENTRY

STATE OF OHIO ) IN THE COURT OF APPEALS NINTH JUDICIAL DISTRICT COUNTY OF MEDINA ) DECISION AND JOURNAL ENTRY [Cite as Novak v. State Farm Ins. Cos., 2009-Ohio-6952.] STATE OF OHIO ) IN THE COURT OF APPEALS )ss: NINTH JUDICIAL DISTRICT COUNTY OF MEDINA ) MARTHA NOVAK C. A. No. 09CA0029-M Appellant v. STATE FARM

More information

FINAL ORDER AFFIRMING TRIAL COURT. the trial court s Final Judgment entered July 16, 2014, in favor of Appellee, Emergency

FINAL ORDER AFFIRMING TRIAL COURT. the trial court s Final Judgment entered July 16, 2014, in favor of Appellee, Emergency IN THE CIRCUIT COURT OF THE NINTH JUDICIAL CIRCUIT, IN AND FOR ORANGE COUNTY, FLORIDA PROGRESSIVE AMERICAN INSURANCE COMPANY, CASE NO.: 2014-CV-000054-A-O Lower Case No.: 2011-SC-008737-O Appellant, v.

More information

ILLINOIS FARMERS INSURANCE COMPANY, Appellee, v. URSZULA MARCHWIANY et al., Appellants. Docket No SUPREME COURT OF ILLINOIS

ILLINOIS FARMERS INSURANCE COMPANY, Appellee, v. URSZULA MARCHWIANY et al., Appellants. Docket No SUPREME COURT OF ILLINOIS Page 1 ILLINOIS FARMERS INSURANCE COMPANY, Appellee, v. URSZULA MARCHWIANY et al., Appellants. Docket No. 101598. SUPREME COURT OF ILLINOIS 222 Ill. 2d 472; 856 N.E.2d 439; 2006 Ill. LEXIS 1116; 305 Ill.

More information

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Index No x.

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Index No x. Case 1:18-cv-06448 Document 1 Filed 07/17/18 Page 1 of 23 UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Index No. 18-6448 ---------------------------------------------------------x VINCENT

More information

ADDRESSING MULTIPLE CLAIMS.

ADDRESSING MULTIPLE CLAIMS. 0022 [ST: 1] [ED: 10000] [REL: 2] Composed: Wed Oct 15 14:15:43 EDT 2008 IV. ADDRESSING MULTIPLE CLAIMS. 41.11 Consider Insurance Provisions as to Multiple Claims and Interrelated Wrongful Acts. 41.11[1]

More information

ALI-ABA Course of Study ERISA Litigation. February 14-16, 2008 Scottsdale, Arizona. Litigation Against Plan Service Providers

ALI-ABA Course of Study ERISA Litigation. February 14-16, 2008 Scottsdale, Arizona. Litigation Against Plan Service Providers 183 ALI-ABA Course of Study ERISA Litigation February 14-16, 2008 Scottsdale, Arizona Litigation Against Plan Service Providers By Thomas S. Gigot Groom Law Group Washington, D.C. 184 2 185 Overview Since

More information

CSU, CHICO RESEARCH FOUNDATION WELFARE FLEXIBLE BENEFITS PLAN. Summary Plan Description Effective January 1, 2014

CSU, CHICO RESEARCH FOUNDATION WELFARE FLEXIBLE BENEFITS PLAN. Summary Plan Description Effective January 1, 2014 CSU, CHICO RESEARCH FOUNDATION WELFARE FLEXIBLE BENEFITS PLAN Summary Plan Description Effective January 1, 2014 TABLE OF CONTENTS I INTRODUCTION... 1 II ELIGIBILITY... 2 1. WHEN CAN I BECOME A PARTICIPANT

More information

IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT JULY TERM v. Case No. 5D

IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT JULY TERM v. Case No. 5D IN THE DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FIFTH DISTRICT JULY TERM 2007 STATE FARM FLORIDA INSURANCE COMPANY, Petitioner, v. Case No. 5D06-3147 JESSICA LORENZO F/K/A JESSICA DIBBLE, ET AL.,

More information

Case: 3:08-cv bbc Document #: 554 Filed: 07/02/12 Page 1 of 15

Case: 3:08-cv bbc Document #: 554 Filed: 07/02/12 Page 1 of 15 Case: 3:08-cv-00127-bbc Document #: 554 Filed: 07/02/12 Page 1 of 15 IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

More information

PREEMPTION QUESTIONS AND ANSWERS

PREEMPTION QUESTIONS AND ANSWERS PREEMPTION QUESTIONS AND ANSWERS ERISA PREEMPTION QUESTIONS 1. What is an ERISA plan? An ERISA plan is any benefit plan that is established and maintained by an employer, an employee organization (union),

More information

Voluntary Short-Term Disability Insurance

Voluntary Short-Term Disability Insurance Voluntary Short-Term Disability Insurance Employee Benefit Booklet Administered by MEDICAL LIFE INSURANCE COMPANY Cleveland, Ohio Town of Norton Group Number: SA04630 CLASS I ML2208C-501 L5559 MEDICAL

More information

UNITED STATES COURT OF APPEALS TENTH CIRCUIT ORDER AND JUDGMENT *

UNITED STATES COURT OF APPEALS TENTH CIRCUIT ORDER AND JUDGMENT * FILED United States Court of Appeals Tenth Circuit January 18, 2012 UNITED STATES COURT OF APPEALS Elisabeth A. Shumaker Clerk of Court TENTH CIRCUIT THE OHIO CASUALTY INSURANCE COMPANY, v. Plaintiff/Counter-Defendant/Cross-

More information

STATE OF MICHIGAN COURT OF APPEALS

STATE OF MICHIGAN COURT OF APPEALS STATE OF MICHIGAN COURT OF APPEALS HETTA MOORE, Plaintiff-Appellee, FOR PUBLICATION April 28, 2005 9:00 a.m. v No. 251822 Macomb Circuit Court CLARKE A. MOORE, Deceased, by the ESTATE LC No. 98-003538-DO

More information

MIDWAY FIRE FIGHTERS PENSION PLAN SUMMARY PLAN DESCRIPTION

MIDWAY FIRE FIGHTERS PENSION PLAN SUMMARY PLAN DESCRIPTION MIDWAY FIRE FIGHTERS PENSION PLAN SUMMARY PLAN DESCRIPTION Approved: December 12, 2017 TABLE OF CONTENTS INTRODUCTION...1 ADMINISTRATION...1 GLOSSARY...2 ELIGIBILITY FOR MEMBERSHIP...4 CONTRIBUTIONS AND

More information

Summary Plan Description. Retirement Plan

Summary Plan Description. Retirement Plan Summary Plan Description Retirement Plan June 2016 Retirement Plan Contents Plan Overview... 1 Retirement Plan Overview... 1 Plan Highlights... 2 Eligibility and Participation... 3 Accessing Your Account...

More information

Procedural Considerations For Insurance Coverage Declaratory Judgment Actions

Procedural Considerations For Insurance Coverage Declaratory Judgment Actions Procedural Considerations For Insurance Coverage Declaratory Judgment Actions New York City Bar Association October 24, 2016 Eric A. Portuguese Lester Schwab Katz & Dwyer, LLP 1 Introduction Purpose of

More information

The Supreme Court Requires Deference to Plan Administrator s Interpretation of ERISA Plan Notwithstanding Administrator s Prior Invalid Interpretation

The Supreme Court Requires Deference to Plan Administrator s Interpretation of ERISA Plan Notwithstanding Administrator s Prior Invalid Interpretation To read the decision in Conkright v. Frommert, please click here. The Supreme Court Requires Deference to Plan Administrator s Interpretation of ERISA Plan Notwithstanding Administrator s Prior Invalid

More information

United States Court of Appeals

United States Court of Appeals In the United States Court of Appeals For the Seventh Circuit No. 03-2210 THOMAS BRADEMAS, et al., v. Plaintiffs-Appellants, INDIANA HOUSING FINANCE AUTHORITY, Defendant-Appellee. Appeal from the United

More information

Summary Plan Description for: The Dow Chemical Company Texas Operations Hourly Total and Permanent Disability Plan

Summary Plan Description for: The Dow Chemical Company Texas Operations Hourly Total and Permanent Disability Plan Summary Plan Description for: The Dow Chemical Company Texas Operations Hourly Total and Permanent Disability Plan Amended and Restated Effective January 1, 2013 and thereafter until superseded This Summary

More information

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No D.C. Docket No. 0:15-cv RNS

IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH CIRCUIT. No D.C. Docket No. 0:15-cv RNS Deborah Johnson, et al v. Catamaran Health Solutions, LL, et al Doc. 1109519501 Case: 16-11735 Date Filed: 05/02/2017 Page: 1 of 12 [DO NOT PUBLISH] IN THE UNITED STATES COURT OF APPEALS FOR THE ELEVENTH

More information

SUMMARY PLAN DESCRIPTION

SUMMARY PLAN DESCRIPTION TESORO CORPORATION GROUP UNIVERSAL LIFE INSURANCE PLAN SUMMARY PLAN DESCRIPTION As of January 1, 2017 1 TABLE OF CONTENTS PARTICIPATION... 3 ENROLLMENT... 3 COST... 3 BENEFIT AMOUNT... 3 APPLYING FOR BENEFITS...

More information

United States Court of Appeals

United States Court of Appeals In the United States Court of Appeals For the Seventh Circuit No. 12 3067 LAWRENCE G. RUPPERT and THOMAS A. LARSON, on behalf of themselves and all others similarly situated, Plaintiffs Appellees, v. ALLIANT

More information

SOME HIGHLIGHTS OF DELAWARE TRUST LITIGATION IN 2017 AND DELAWARE TRUST LEGISLATION IN Presented at the Delaware 2017 Trust Conference

SOME HIGHLIGHTS OF DELAWARE TRUST LITIGATION IN 2017 AND DELAWARE TRUST LEGISLATION IN Presented at the Delaware 2017 Trust Conference SOME HIGHLIGHTS OF DELAWARE TRUST LITIGATION IN 2017 AND DELAWARE TRUST LEGISLATION IN 2017 Presented at the Delaware 2017 Trust Conference October 24 and 25, 2017 By Norris P. Wright, Esquire 1925 1925

More information

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT July Term 2007

DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT July Term 2007 DISTRICT COURT OF APPEAL OF THE STATE OF FLORIDA FOURTH DISTRICT July Term 2007 J.P. MORGAN TRUST COMPANY, N.A., and JPMORGAN CHASE BANK, N.A., Appellants, v. DANIEL G. SIEGEL, individually, and SIMON

More information

SUMMARY PLAN DESCRIPTION 2013 EDITION

SUMMARY PLAN DESCRIPTION 2013 EDITION AUTOMOBILE MECHANICS LOCAL NO. 701 UNION AND INDUSTRY PENSION FUND SUMMARY PLAN DESCRIPTION 2013 EDITION AUTOMOBILE MECHANICS LOCAL NO. 701 UNION AND INDUSTRY PENSION FUND Bargaining Unit A Plan SUMMARY

More information

NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT. No

NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT. No NOT PRECEDENTIAL UNITED STATES COURT OF APPEALS FOR THE THIRD CIRCUIT No. 03-4459 KIMBERLY BRUUN; ASHLEY R. EMANIS, on behalf of themselves and all other similarly situated persons Appellant, v. PRUDENTIAL

More information

Mark Matthews v. EI DuPont de Nemours & Co

Mark Matthews v. EI DuPont de Nemours & Co 2017 Decisions Opinions of the United States Court of Appeals for the Third Circuit 3-16-2017 Mark Matthews v. EI DuPont de Nemours & Co Follow this and additional works at: http://digitalcommons.law.villanova.edu/thirdcircuit_2017

More information

MOUNT ST. MARY'S UNIVERSITY FLEXIBLE BENEFITS PLAN SUMMARY PLAN DESCRIPTION

MOUNT ST. MARY'S UNIVERSITY FLEXIBLE BENEFITS PLAN SUMMARY PLAN DESCRIPTION MOUNT ST. MARY'S UNIVERSITY FLEXIBLE BENEFITS PLAN SUMMARY PLAN DESCRIPTION Summary Plan Description Table of Contents A. INTRODUCTION B. GENERAL INFORMATION C. PARTICIPATION D. FUNDING E. BENEFITS F.

More information

UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT. No

UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT. No UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 17-1180 ALL RISKS, LTD, a Maryland corporation; HCC SPECIALTY UNDERWRITERS, INC., a Massachusetts corporation; UNDERWRITERS AT LLOYD

More information

ARMSTRONG INTERNATIONAL, INC. THREE RIVERS MI

ARMSTRONG INTERNATIONAL, INC. THREE RIVERS MI ARMSTRONG INTERNATIONAL, INC. THREE RIVERS MI Dental Booklet Revised 01-01-2016 BENEFITS ADMINISTERED BY Table of Contents INTRODUCTION... 3 PLAN INFORMATION... 4 SCHEDULE OF BENEFITS... 6 OUT-OF-POCKET

More information

GROUP LIFE INSURANCE PLAN SUMMARY PLAN DESCRIPTION

GROUP LIFE INSURANCE PLAN SUMMARY PLAN DESCRIPTION GROUP LIFE INSURANCE PLAN SUMMARY PLAN DESCRIPTION As of January 1, 2018 1 WHO IS ELIGIBLE... 3 ENROLLING IN THE PLAN... 3 WHEN COVERAGE BEGINS... 3 COST OF COVERAGE... 3 BENEFITS... 3 BENEFICIARY DESIGNATIONS...

More information

UTAH ASSOCIATION OF PUBLIC CHARTER SCHOOLS RETIREMENT PLAN SUMMARY PLAN DESCRIPTION. June Copyright My ERPA

UTAH ASSOCIATION OF PUBLIC CHARTER SCHOOLS RETIREMENT PLAN SUMMARY PLAN DESCRIPTION. June Copyright My ERPA UTAH ASSOCIATION OF PUBLIC CHARTER SCHOOLS RETIREMENT PLAN SUMMARY PLAN DESCRIPTION June 2016 Copyright 2002-2016 My ERPA UTAH ASSOCIATION OF PUBLIC CHARTER SCHOOLS RETIREMENT PLAN INTRODUCTION SUMMARY

More information

Supreme Court of the United States

Supreme Court of the United States No. 07-331 ================================================================ In The Supreme Court of the United States --------------------------------- --------------------------------- SUN LIFE ASSURANCE

More information